Study on the Correlation between the Related Factors and TCM Syndromes of Essential Hypertension with Left Ventricular Hypertrophy

ZHOU Wenqiang; LIU Dehuan; DAI Yina; et al.

doi:10.13288/j.11-2166/r.2009.03.024

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Study on the Correlation between the Related Factors and TCM Syndromes of Essential Hypertension with Left Ventricular Hypertrophy

更新时间：2021-11-17

- Study on the Correlation between the Related Factors and TCM Syndromes of Essential Hypertension with Left Ventricular Hypertrophy
- Journal of Traditional Chinese Medicine Vol. 50, Issue 3, Pages: 248-250(2009)
- 作者机构：
  
  1. 泉州市中医院针灸康复科
  2. 福建省泉州市第一医院
- 作者简介：
- 基金信息：
- DOI：10.13288/j.11-2166/r.2009.03.024
  CLC： R259
- Published：2009
- 稿件说明：
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[1]周文强,刘德桓,戴一娜,庄增辉,林惠琴.原发性高血压左室肥厚相关因素与中医证型关系的探讨[J].中医杂志,2009,50(03):248-250.

ZHOU Wenqiang, LIU Dehuan, DAI Yina, et al. Study on the Correlation between the Related Factors and TCM Syndromes of Essential Hypertension with Left Ventricular Hypertrophy[J]. Journal of Traditional Chinese Medicine2009, 50(3): 248-250.
[1]周文强,刘德桓,戴一娜,庄增辉,林惠琴.原发性高血压左室肥厚相关因素与中医证型关系的探讨[J].中医杂志,2009,50(03):248-250. DOI： 10.13288/j.11-2166/r.2009.03.024.

ZHOU Wenqiang, LIU Dehuan, DAI Yina, et al. Study on the Correlation between the Related Factors and TCM Syndromes of Essential Hypertension with Left Ventricular Hypertrophy[J]. Journal of Traditional Chinese Medicine2009, 50(3): 248-250. DOI： 10.13288/j.11-2166/r.2009.03.024.

摘要

目的探讨原发性高血压病左室肥厚（EH-LVH）相关因素与中医临床辨证分型的关系。方法将138例EH-LVH患者分为肝火亢盛证、痰湿壅盛证、阴虚阳亢证和阴阳两虚证4个证型

分析其年龄、性别、病程、血压水平、血脂、血尿酸（UA）等对各证型的影响。结果在年龄及病程的分布上

阴阳两虚证与其他3个证型间差异均有统计学意义（P<0.05）;不同证型在舒张压水平、脉压大小上差异有统计学意义;各证型的血清低密度脂蛋白胆固醇（LDL-C）、甘油三酯（TG）以及UA有统计学差异。结论年龄、病程均是影响临床证型分类的基本因素;血压水平的变化尤其是脉压水平的高低影响了临床证型的分类和发展变化;痰瘀互结是EH-LVH痰湿壅盛证病理过程中的主要特征。

Abstract

Objective To discuss the impact of the related factors of essential hypertensive with left ventricular hypertrophy （EH-LVH） on TCM Syndromes.Methods The 138 patients with EH-LVH were differentiated into 4 types

i.e. liver-fire hyperactivity

excessive accumulation of phlegm-dampness

yin deficiency with yang hyperactivity and deficiency of both yin and yang

and the impact of age

sex

course of disease

blood pressure

blood lipid

and uric acid （UA） on the different TCM syndromes was studied. Results Regarding to the age and course of disease

the group of type of deficiency of both Yin and Yang was significantly different from the other 3 types. Each type was significantly different in diastolic blood pressure and pulse pressure difference. The low density lipoprotein cholesterol （LDL-C）

triglyceride （TG）

and uric acid （UA） in different type were significantly different.Conclusion Age and course of disease are basic factors that influence TCM Syndromes. The change of blood pressure

especially the level of pulse pressure

affects the differentiation of TCM syndromes with their development. Phlegm and blood stasis is the main manifestation of phlegm-damp syndrome in EH-LVH patients.

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